TRT and BPH

I was diagnosed for the last two years of having prostatitis. I was on TRT injections at the same time. I recently was told my problem is BPH and not prostatitis. I was told to stop TRT. I feel like crap from stopping my injections. I want to start up again and got one doctor saying no and one saying yes. What's your opinion? Thanks Mike

Did your psa show a spike during your 1st/2nd set of bloodwork?

My PSA went from .95 before TRT to 1.08

got a new psa and it was .76. I really would like to know if I can continue my trt.

Your PSA is good. If you have BPH, ask your doctor to at least let you try Flomax, Uroxatral or Cialis since they are prescribed for benign prostatic hyperplasia. You do not need to stop TRT.

Mike402 said:

I was diagnosed for the last two years of having prostatitis. I was on TRT injections at the same time. I recently was told my problem is BPH and not prostatitis. I was told to stop TRT. I feel like crap from stopping my injections. I want to start up again and got one doctor saying no and one saying yes. What's your opinion? Thanks Mike

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Mike,

Like Nelson said, your PSA is fine.

Since you mentioned having prostatitis over the last two years, how many times did you have it? Did your Doctor treat the prostatitis with an antibiotic protocol at any time? If so, did the antibiotic ever resolve the issue, or did your prostate symptoms continue? Lastly, who is telling you that you have BPH? Your Primary Care Physician, or a Urologist?

Like you, I've had a few bouts with prostatitis over the past decade, and I've always been able to resolve my issues with an antibiotic regime. I've tried Flomax and Finnasteride (at different times) over the past decade, with the following observations:

I will never take Finnasteride again. It totally killed my sex drive. My Doctor's reaction at the time (Primary Care Physician) was, "oh, then stop taking it." Gee, thanks for the sage advice Doc. Why did you prescribe this crap to me without telling me about the possible side effects?

As for Flomax, my Urologist offered up a script for me to try it out. He told me that I didn't have BPH, but the Flomax might help with urine flow. It's a strange drug. It definitely increased my urine flow (pressure, if you will), but it had a weird side effect. During sex, it delayed ejaculation for about a minute, then oozed out. Sorry if this is too much info, but I wanted you to know how it affected me. I stopped taking it years ago.

As for me now, I'm ready to give low dose Cialis a try, and see how it works.

In the two years I've been taking Flomax I have had some instances of retrograde ejaculation - rather than emitting, my semen wound up in my bladder. I fired backwards, if you will. It's a recognized side-effect, which doesn't make it any less startling when it happens.

Hmmm
I have had a few bouts with prostatitis.
FWIW my TRT DR said you need long term antibiotics to get complexly over it. His experience is that the antibiotics kill most of the infection BUT the antibiotics have a hard time reaching all the way into the prostate to kill it all. That is where the long term treatment comes into play. I think he is on to something as I have had at least 2 bouts and thought that the antibiotics took care of it. My PSA is over 4 and my new Urologist wans to do the biopsy thing I think it is my prostatitis impacting the PSA. I need to get back with him and see about antibiotics BEFORE the biopsy. PSA over the last 5 years has been running 3.0 to 3.5. Recently it moved up to 4.0 - 4.9 with a reading of 3.0 after last antibiotic treatment.

Orrin Israel said:

FWIW my TRT DR said you need long term antibiotics to get complexly over it. His experience is that the antibiotics kill most of the infection BUT the antibiotics have a hard time reaching all the way into the prostate to kill it all.

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Can you define "long term?" A normal protocol of Cipro is 500mg BID for roughly 14 days (at least it was for me). Did you have to take the antibiotics for longer than that?

My retired Uro had me on Macrodantin 100MG 2X a day for 30 days then 1X a day for another 30 days both times. So 60 days each occurrence. My TRT DR is a retired Air Force DR.. Based on his experience with prostate infections he indicate he would have patients on antibiotics for 6 months to make sure the antibiotics were able to penetrate completely into the prostate to kill all the bacteria / infection. He indicated that all it took was a bit of bacteria / infection left and you would eventually have a relapse. Anyway that's how I understood what he was telling me.

You noted two instances of prostatitis. How far apart, in time, did they occur?

Orrin Israel said:

My retired Uro had me on Macrodantin 100MG 2X a day for 30 days then 1X a day for another 30 days both times. So 60 days each occurrence. My TRT DR is a retired Air Force DR.. Based on his experience with prostate infections he indicate he would have patients on antibiotics for 6 months to make sure the antibiotics were able to penetrate completely into the prostate to kill all the bacteria / infection. He indicated that all it took was a bit of bacteria / infection left and you would eventually have a relapse. Anyway that's how I understood what he was telling me.

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Wow! When you said long term, I was thinking along the lines of 30 days. The only time I've taken any antibiotics longer was when we had to take Doxycycline as a malaria prophylaxis in the Marine Corps.

Clarification 2X a day = once in the AM and once in the PM.